Correction check·November 27, 2023

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Plan of Correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Victoria Dao. The purpose of today's visit was to verify if deficiencies cited on 11/8/2023 had been corrected. On 11/8/2023, the licensee was issued 2 deficiencies with a correction date of 11/22/2023. As of today's date, LPA Ruiz had not received any communication from the licensee requesting a POC extension date or correction documents. During today's visit, LPA observed residents in care, centrally stored medications, and resident records. LPA observed resident medications which were centrally stored, locked, and stored in their original container. LPA spoke to Caregiver Victoria Dao who stated that the Licensee had attempted to arrange medication training for staff but was not successful. Therefore, deficiency 87465(h)(5) remains uncorrected as of today's date. An immediate civil penalty of $100 per day for a total of $500 is being assessed for failure to correct and will be ongoing until corrected. Review of resident records revealed that they remained incomplete and were missing required documents, including admission agreements, preplacement appraisals, and needs and service documents. Therefore, deficiency 87506(a) remains uncorrected as of today's date. An immediate civil penalty of $100 per day for a total of $500 is being assessed for failure to correct and will be ongoing until corrected. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, two LIC421FCs, and the Licensee Appeal Rights (LIC9058 01/16).